Mrs Kristin Rene Petersen, OTRL is a
Physical Medicine & Rehabilitation physician based in Millington, Michigan. Mrs Kristin Rene Petersen is licensed to practice in Michigan (license number 5201009377) and her current practice location is 7850 Barnes Rd, Millington, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 385-0957.
NPI number for Mrs Kristin Rene Petersen is 1417421264 and her current mailing address is 7850 Barnes Rd, Millington, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417421264.
Physician's Profile
Full Name | Mrs Kristin Rene Petersen |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 7850 Barnes Rd, Millington, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417421264
- Provider Enumeration Date: 01/15/2019
- Last Update Date: 01/15/2019
Medical Identifiers
Medical identifiers for Mrs Kristin Rene Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417421264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 5201009377 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristin Rene Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kristin Rene Petersen, OTRL 7850 Barnes Rd, Millington, MI 48746-9520 Ph: () - | Mrs Kristin Rene Petersen, OTRL 7850 Barnes Rd, Millington, MI 48746-9520 Ph: (989) 385-0957 |
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